{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LOUIS M GIBSON","gend":0,"add":"131   SHELTER COVE WAY","city":"CARROLLTON","state":"VA","zip":233144181,"dob":"2015-05-21","age":"","mstatus":"","insh":7939134,"cliId":"","pno":4344253580,"cno":"","email":"","ename":"","eno":"","pphy":"BRICKLEY, ERIN A","ppno":"","pcpadd":"1204 N MAIN ST","pcpcity":"MARION","pcpstate":"VA","pcpzip":243544312,"pcpcounty":"SMYTH","pcpid":"P9307417","pcpname":"MOUNTAINVIEW PEDIATRICS PC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J20.8","H10.023","H57.89","H10.239","I78.1","E16.2","R53.83","J18.8","R50.9","J18.9","R11.2","R05","R06.02","F84.0","Z00.121","F80.89","H91.92","R45.87","Z01.118","Z01.00","Z23","F80.9","F88","F98.8","Z13.40","F84.9","J02.0","K29.60","R11.10","K59.09","R10.9"],"date":["2019-02-27","2019-02-27","2019-02-27","2019-03-01","2019-03-01","2019-04-12","2019-04-12","2019-04-26","2019-04-26","2019-04-26","2019-04-26","2019-04-26","2019-04-26","2019-04-26","2019-06-07","2019-06-25","2019-06-07","2019-06-07","2019-06-07","2019-06-07","2019-06-07","2019-06-19","2019-06-19","2019-06-19","2019-06-19","2019-06-25","2019-08-20","2020-01-30","2020-03-13","2020-03-05","2020-03-05"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":""}]}]}